A Case of Round Ligament Varices Presenting in Pregnancy
| Autor: | Wilmarie Rivera-Hernandez, Wilma Rodriguez Mojica, S. C. Torres-Ayala, Luis F García-Paredes |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Inguinal Canal 030218 nuclear medicine & medical imaging Varicose Veins 03 medical and health sciences 0302 clinical medicine Pregnancy Valsalva maneuver Medicine Outpatient clinic Humans Ultrasonography Doppler Color Round Ligament of Uterus Ultrasonography Round Ligament business.industry Vaginal delivery Ultrasound General Medicine Articles medicine.disease Inguinal canal Surgery Pregnancy Complications Inguinal hernia medicine.anatomical_structure Female Radiology Pregnant Women business Varices 030217 neurology & neurosurgery |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Female, 34 Final Diagnosis: Round ligament varices Symptoms: Inguinal mass/inflammation Medication: — Clinical Procedure: Ultrasound Specialty: Radiology Objective: Challenging differential diagnosis Background: Round ligament varices (RLV) are rare and are almost exclusively seen in pregnant women. RLV may clinically resemble an inguinal hernia, inguinal mass, or other pathology involving the inguinal canal and round ligament. Ultrasound imaging is important to make the diagnosis of RLV. Case Report: A 34-year-old Hispanic woman, gravida 1 para 0, at 34 weeks gestation, presented to our outpatient department with a complaint of a small, painless, reducible right inguinal mass. Gray-scale sonography showed an asymmetric right inguinal anechoic mass composed of multiple serpentine tubular channels, which became more prominent when the patient performed a Valsalva maneuver. Color Doppler ultrasound imaging showed a hyper vascular structure with a venous flow pattern, consistent with RLV. The patient was treated conservatively and had an uneventful vaginal delivery at 38 weeks gestation. At two weeks postpartum, the RLV spontaneously regressed and her symptoms completely resolved. Conclusions: RLV is a rare condition that should be recognized and diagnosed promptly to prevent patients from undergoing unnecessary surgical exploration. Ultrasound is the diagnostic imaging procedure of choice for the diagnosis of RLV, as well as for patient follow-up and to exclude possible complications associated with RLV. |
| Databáze: | OpenAIRE |
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